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Intense pain in bump, burning sensation in sphincter, hurts on moving. What could it be?

The last two days I ve had an intense pain in my bum. The (or what I m assuming to be my) sphincter feels like it is either clenching or burning, but it s extremely uncomfortable. It hurts most while moving (ie. walking) or changing from a standing to sitting/lying down position. What is this? Should I be concerned? Extra note: I do participate in anal sex fairly often (5-8 times a month). I am currently menstruating. My passing has been a tad more frequent than usual, and it is painful. (During menstruation activity picks up greatly and my tract clears itself via diarrhea or solid stools on a good day, but any other day of the month passing tends to be limited to 1-2 per day. This has been a normal occurrence.)
Asked On : Mon, 19 Nov 2012
Answers:  1 Views:  74
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Diseases and Conditions
Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Your symptoms are suggestive of abrasions of the delicate inner lining of anus (called Fissure-in-ano), with secondary bacterial/yeast infection, due to anal sex.

Application (inside the anus) of a intra-rectal ointment/jelly containing xylocaine (anesthetic agent), steroid (for inflammation) and an antibiotic (for bacterial infection) THRICE daily; a short course of an oral antibiotic, such as, Doxycycline; Laxative till rectal healing takes place, and Sitz' bath (sitting in a small tub containing warm water) twice daily, will cure the condition.

Do not practice anal sex till completely cured.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
Answered: Wed, 15 Jan 2014
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